Provider Demographics
NPI:1902987910
Name:WOOD, ISAAC K (MD)
Entity Type:Individual
Prefix:DR
First Name:ISAAC
Middle Name:K
Last Name:WOOD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:9020 STONY POINT PKWY STE 365
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23235-1947
Mailing Address - Country:US
Mailing Address - Phone:804-763-9863
Mailing Address - Fax:804-237-0980
Practice Address - Street 1:9020 STONY POINT PKWY STE 365
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23235-1947
Practice Address - Country:US
Practice Address - Phone:804-763-9863
Practice Address - Fax:804-237-0980
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2020-05-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA01010380842084P0804X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA007126301 541581185Medicaid
VAC47126Medicare UPIN
VA007126301 541581185Medicaid